Submit a Claim – In re: Interior Molded Doors Indirect Purchaser Antitrust Litigation

This registration form must be completed by all companies that will submit Claim Forms on behalf of clients, either individuals or businesses. Upon successful registration, you will be provided a 3rd Party Claim Filer Code that must be included on each Claim Form that you submit on behalf of a Settlement Class Member.

3rd Party Business Information

Business/Entity Name*

Business Mailing Street Address/P.O. Box (include Suite/Floor Number)*

City*

State*

Zip Code*

Business Email Address*

Business Phone Number*

Federal Taxpayer Identification Number*

Primary Contact Person Information

Primary Contact Person First Name*

Primary Contact Person Last Name*

Primary Contact Person Email Address*

Primary Contact Person Phone Number*